UCC - USC Event Space Request - Community Room/Mustang Lounge

DO NOT USE TO REQUEST DANCE/REHEARSAL SPACE.

Please fill out the form completely.

Group Information
Group Name
What Category would you place your Group In?
If you are a USC Club, have you submitted an Event Proposal to WesternLink?

If you are a USC Club, have you submitted an Event Proposal to WesternLink? Yes No

All USC Clubs must submit and Event Proposal to WesternLink for any event to be held in USC Space. Space can be booked without final approval of the event. However, final approval will be required for event to happen.
Authorized Signing Officer (ASO) for this Group Authorized Signing Officer (ASO) for this Group First Last
ASO's E-mail
ASO's Phone No. ASO's Phone No. - ### - ### ####
Group or Individual Mailing Address (if non-USC Affiliated) Group or Individual Mailing Address (if non-USC Affiliated)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Preferred Payment Method

Preferred Payment Method Cash / Debit Cheque Credit Card Western Speed Code USC Internal or Club Account Purchase Order
USC Account Number, Western Full Speed Code (2 parts - ie FN98 777888) or Purchase Order Number
Event Information
Multiple Choice

Multiple Choice Mustang West Lounge (100 - 600) Community Room (larger activity room 20-150) Other Other
EVENT NAME OR TITLE
Type of Event
Event Date
(If multiple dates required, please indicate additional dates and purpose for each in Event Description below) Event Date
(If multiple dates required, please indicate additional dates and purpose for each in Event Description below) / MM / DD YYYY
Alternative Date if not previous date not available? Alternative Date if not previous date not available? / MM / DD YYYY

If the your first choice of event date is not available, do you have an alternative date that the event can be held?
Event Start Time (not including set-up or strike time) Event Start Time (not including set-up or strike time) : HH MM AM/PM

Please enter the time you want "doors open" for your event.
Event End Time (not including set-up or strike time) Event End Time (not including set-up or strike time) : HH MM AM/PM
Requested time for access to event space prior to event start time

We will add the standard set-up time to the event based on the type and nature of the event. If you wish access to the event prior to "doors open" please indicate how many hours prior you wish access to the room.
Requested time for access to event space after event end time

We will add the standard strike time required to the event based on the nature and type of event. Please indicate if you wish to have additional time in the room after the event finishes.
If the room is not available for the requested start time or end time, can even time be amended by an hour either way?

If the room is not available for the requested start time or end time, can even time be amended by an hour either way? Yes No

We try to accomodate as many events in our space as possible, however, the exact times requested for your event may not be available. Please indicate if your are flexible with your start and/or end time.
Event Description

Please provide us with a complete preliminary description of the nature and purpose of your event and any and all details that you have at this time. This may include furnishings, catering, performers, speakers etc.
Minimum Estimated Attendance
Maximum Estimated Attendance
Will you require A/V equipment? (microphone, projector etc.)

Will you require A/V equipment? (microphone, projector etc.) Yes No
Please indicate what type of A/V package you will need for your event. We will request more detailed information once the booking is securred

Please indicate what type of A/V package you will need for your event. We will request more detailed information once the booking is securred Presentation (Projector, Mic, Single Presenter(s) at one time) Presentation (Projector Only) Speakers Panel (Projector, Mic, Multiple Presenters at once) Fashion Show/DJ Dance Coffee House/Open Mic Concert, Band Night or Talent Show Other Other
Select any Furniture Required

Select any Furniture Required Theatre Style Seating (number will be based on max attendance) Banquet Round Tables (seats 8 - number will be based on max attendance) 6ft Display Tables (indicate number required below) Rod & Drape (trade show - number will be determined by number of display tables required and in consultation wtih Event Coordinator) No Furnishing Required Other Other
Number of Display Tables Required (1 table, 2 chairs)
Will you be serving any food and/or beverages? (Catering must be contracted by The Wave - NO outside catering or food permitted unless approved by The Wave)

Will you be serving any food and/or beverages? (Catering must be contracted by The Wave - NO outside catering or food permitted unless approved by The Wave) Yes No
Any additional information you wish to provide with regards to this request.
I acknowledge that no event is considered reserved until a confirmation has been received from the USC

I acknowledge that no event is considered reserved until a confirmation has been received from the USC Yes No
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

UCC - USC Event Space Request - Community Room/Mustang Lounge

UCC - USC Event Space Request - Community Room/Mustang Lounge

Group Information

Event Information